FORM 1023-EZ for J CLAY THOMPSON TECHNIQUE FOUNDATION

Field Data
EIN 84-2398300
Case Number EO-2019221-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name J CLAY THOMPSON TECHNIQUE FOUNDATION
Organization’s Mailing Address 2520 BAYFIELD ROAD
City MUSCATINE
State IA
ZIP 52761
Accounting period End 12
Primary contact name ELIZABETH ZOGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH ZOGG
PRESIDENT, DIRECTOR
2520 BAYFIELD ROAD
MUSCATINE IA 52761

Officer/Director/Trustee Two

THOMAS KENNY
TREASURER, DIRECTOR
2860 S GREEN BAY ROAD
MOUNT PLEASANT WI 53406

Officer/Director/Trustee Three

MARNI CAPES
SECRETARY, DIRECTOR
1292 SWEET BOTTOM COURT
MARIETTA GA 30064

Officer/Director/Trustee Four

THOMAS KOLARIK
DIRECTOR
5705 STATE PARK ROAD
TRAVELERS REST SC 29690

Officer/Director/Trustee Five

CAITLYN DEMETRIOUS
DIRECTOR
52 HAROLD COURT
HAMPSTEAD NC 28443

Organization’s website
Organization’s email THOMPSONFOUNDATION@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G90 - Medical Disciplines
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELIZABETH ZOGG
Signature Title PRESIDENT, DIRECTOR
Signature Date 8/7/19

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